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Hiroshima Journal of Medical Sciences 32 巻 4 号
1983-12 発行

Postoperative Changes of Serum Bile Acid Levels in a Case with Massive Hepatic Resection

肝右葉切除の一症例における術後血清胆汁酸の変動について
Harada Mitsuo
Takahashi Makoto
Kodama Motomu
Akimoto Naotaka
Aoyama Jiro
Inagaki Kazuro
Ezaki Haruo
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HiroshimaJMedSci_32_383.pdf
Abstract
Postoperative serum bile acids in a patient with hepatectomy were determined by gas-liquid chromatography. The results showed that two high peaks of serum bile acid levels were found respectively on the 2nd and 7th postoperative day, although serum bile acid levels returned to normal after the 15th postoperative day. The high peaks were considered to be due to the escape of necrotic hepatic intracellular bile acids into systemic blood stream, poor uptake of bile acids by hepatocytes and reabsorption of bile acids leaked from the residual liver into the peritoneal cavity.
About This Article
著者キーワード
Serum bile acids
Traumatic liver rupture
Hepatic resection
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